Job Recruitment Website - Social security inquiry - Can the second social security file go directly to the hospital?

Can the second social security file go directly to the hospital?

Legal analysis: social security is divided into outpatient service and hospitalization, the secondary outpatient service needs to be bound to social security, and hospitalization does not need to be bound to hospital; Third-level outpatient service and hospitalization need to be bound to social health or hospital. The second kind of hospitalization pays for itself. If you need to be hospitalized, you don't need to open a referral form. If it's an outpatient clinic, you can't open a referral form. Third-level migrant workers' medical insurance, if they want to be hospitalized, need to issue a referral certificate to the superior hospital of Social Health. If you don't open it, you can be hospitalized, but the reimbursement will be reduced.

Legal basis: Article 32 of the Measures for Social Medical Insurance in People's Republic of China (PRC), the insured of basic medical insurance shall seek medical treatment in accordance with the following provisions and enjoy medical insurance benefits:

(a) the basic medical insurance insured in the city designated medical institutions for medical treatment.

(2) The secondary insured of basic medical insurance shall seek medical treatment in the selected community health center, and with the consent of the settlement hospital, they may seek medical treatment in other designated community health centers under the same settlement hospital as the selected community health center; Hospitalization and outpatient serious illness in the city designated medical institutions for medical treatment.

(3) The third-level insured of basic medical insurance shall seek medical treatment in the selected community health center, and with the consent of the settlement hospital, they may seek medical treatment in other designated community health centers under the same settlement hospital as the selected community health center; Outpatient serious illness in the city designated medical institutions for medical treatment; Be hospitalized in the settlement hospital of the selected social rehabilitation center.

(four) other medical conditions that meet the requirements of these measures.